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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198000639
Report Date: 11/05/2021
Date Signed: 11/05/2021 01:08:00 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:YOUNG HORIZONS INFANT CHILD DEVELOPMENT CENTERFACILITY NUMBER:
198000639
ADMINISTRATOR:ARIANA CHAVEZFACILITY TYPE:
830
ADDRESS:501 ATLANTIC AVETELEPHONE:
(562) 437-8991
CITY:LONG BEACHSTATE: CAZIP CODE:
90802
CAPACITY:35CENSUS: 13DATE:
11/05/2021
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Ariana ChavezTIME COMPLETED:
01:07 PM
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Licensing Program Analyst (LPA) Warren Birks conducted an Case Management Annual Continuation due to a technical error. LPA discovered the internal inspection tool was deleted during today's previous inspection. The purpose of this inspection is to create another inspection tool to replace the deleted one. LPA observed no citations at this time.

Exit interview conducted with Arianna Chavez.

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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